Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Diana Martha Clark, LCSWMSWMADMIN

Individual provider Clinical Social Worker · NPI 1598736035

MS. Diana Martha Clark, LCSWMSWMADMIN is a Clinical Social Worker in Lake Oswego, Oregon. Qualified in 1979, 47 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
47
Licensed in
OR
In the registry since
2006
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Practice location Address checks out

15100 SW Boones Ferry Rd Ste 850
Lake Oswego, OR 97035-3423
Phone: (503) 636-1625
Fax: (503) 635-9127
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 1594 (OR)

Record details

NPI number1598736035
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWMSWMADMIN
Sole proprietorNo
NPI enumeratedFebruary 1, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lake Oswego